Our patient is a 30 year-old male who had been diagnosed with Ehlers-Danlos syndrome – a condition characterized by joint hypermobility. The patient’s medical history included frequent fractures and chronic pain in the lower back and buttock regions. The persistent pain was significantly impacting the patient’s daily activities and overall well-being. The patient had previously been misdiagnosed at another clinic, resulting in inappropriate and unsuccessful treatment.
Our clinical evaluation revealed scoliosis, rotational anomalies, and limited mobility in the sacroiliac joint (SIJ). We conducted functional neuromuscular ultrasound imaging to identify the source of pain and impaired mobility.
We decided to use ultrasound-guided dry needling (USGDN) to address trigger points, correct rotational anomalies, and resolve mobility issues.
Trigger points were identified and precisely targeted with USGDN in the following areas:
After treatment, the patient reported complete pain relief and regained movement in all affected areas. The Cobb angle inclination for the patient’s scoliosis was decreased to 0 degrees, and rotational anomalies were minimized, resulting in improved quality of life for the patient.
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.